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Group 2 Sigridur, Catherine, Anette, Bruna, Marija, Rosmarie, Songül, Christiane, Catharina FALL PREVENTION IN COMMUNITY CARE- people aged 65 and older.

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Presentation on theme: "Group 2 Sigridur, Catherine, Anette, Bruna, Marija, Rosmarie, Songül, Christiane, Catharina FALL PREVENTION IN COMMUNITY CARE- people aged 65 and older."— Presentation transcript:

1 Group 2 Sigridur, Catherine, Anette, Bruna, Marija, Rosmarie, Songül, Christiane, Catharina FALL PREVENTION IN COMMUNITY CARE- people aged 65 and older

2 BACKGROUND Prevalence - 1/3 people 65+ fall at least one time a year -1/2 people 80+ fall at least one time a year Significant morbidity % are associated with serious injuries Significant loss of QoL High cost - £ 2.3 billion / year in the UK Cameron et al. (2010); Gillespie et al. (2012); National Institute for Clinical Excellence (2013).

3 OBJECTIVES Aim: Implementing the NHS NICE-guidelinesCLINICAL GUIDELINE 161-Falls in older people Setting: Wales, Primary Care Providers Target groups: all community health care providers

4 BARRIERS andFACILITATORS BARRIERSFACILITATORS Lack of awarenessEasy access to necessary material (webpage, posters, flyers) Lack of knowledgeEducation Lack of motivationIncentives Lack of timeGood reputation

5 FRAMEWORK Individual level: Active learning theory Social level : Social cognitive theory Organisational level: Theories on organisational theory …within the Preceed/proceed framework

6 INTERVENTION Educational sessions at Education days 2 times/year Printed and web-based material for patients and professionals Reminders (computerized) Contact person Fall champions

7 EVALUATION Effect and process evaluation Time-series design - data collection twice a year (five time points) Survey for the practitioners Patient record analysis Feedback with recommendations Re-Audit

8 EVALUATION Quality Indicators: Are all health care personel aware of the guidelines? Are all people 65+ asked about falls? Are all people at risk offered multifactorial risk assessment? Are all people at risk offered multifactorial intervention? Number of falls related to people aged 65+ All people aged 65+

9 BUSINESS PLAN Time frame: 1 year of implementation 2 years of follow-up (audit) Budget: 2 part time research assistants Educational material Data collection/Report Overhead costs

10 REFERENCES Cameron ID, Murray GR, Gillespie LD, Robertson MC, Hill KD, Cumming RG, Kerse N. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No.: CD DOI: / CD pub2. Eccles,M., Grimshaw, J., Campbell, M. & Ramsay, C. (2003). Research designs for studies evaluation the effectiveness of change and improvement strategies. Quality and Safety in Health Care 12 pp Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews 2012, Issue 9. Art. No.: CD DOI: / CD pub3. Hill KD, Moore KJ, Dorevitch MI, Day LM. Effectiveness of falls clinics: an evaluation of outcomes and client adherence to recommended interventions. J Am Geriatr Soc 2008;56: 600–8. Howe TE, Rochester L, Neil F Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database of Systematic Reviews 2011, Issue 11. Art. No.: CD DOI: / CD pub3. Lamb SE, Jørstad-Stein EC, Hauer K, Becker C, Prevention of Falls Network Europe and Outcomes Consensus Group. Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society 2005;53(9): DOI: /j x. National Institute for Clinical Excellence. Falls: the assessment and prevention of falls in older people. NICE clinical guideline 21. (accessed 2 July 2013). Panel on Prevention of Falls in Older Persons, American Geriatrics Society, British Geriatrics Society. Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. Journal of the American Geriatrics Society 2011;59(1): DOI: /j x Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. New South Wales Public Health Bulletin 2011;22: 78–83. Whitehead CH, Wundke R, Crotty M. Attitudes to falls and injury prevention: what are the barriers to implementing falls prevention strategies? Clin Rehabil 2006;20: 536–42.


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